Organization
JOHN T MACKAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM E CHAN (MANAGER)
(850) 877-8171
Entity
Organization
Contact information
Practice address
2412 W PLAZA DR, TALLAHASSEE, FL 32308-5325
(850) 877-8171
(850) 877-9791
Mailing address
2412 W PLAZA DR, TALLAHASSEE, FL 32308-5325
(850) 877-8171
(850) 877-9791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2809922
FL
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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